MetroHealth HMO Limited | Recruitment
MetroHealth HMO Limited is a leading Nigerian health insure-tech company that offers unparalleled tech-driven comprehensive primary, secondary, and tertiary health insurance services across the country.
We are recruiting to fill the position below:
Job Title: Registered Nurse – Call Centre Executive
Location: Nigeria
Employment Type: Full-time
Scope of Work
The primary duties of the Call Centre Executive will include:
- Provide product and service information to clients
- Managing inbound and/or outbound calls from customers, distribution partners and providers.
- Manage and resolve customer complaints.
Responsibilities
Responsibilities include the following:
- Respond to all Enrollee and Provider inquiries in a friendly, professional manner using the suggested script.
- Keep up-to-date information on all plans of GHML and tariff and communicate same to customers in a professional manner.
- Explain benefits, eligibility status, enrollment processing procedures and status of authorizations and referrals to callers.
- Provide up to date information about company products and services to clients, providers and billing agencies.
- Grant authorizations code for medical treatment, if covered on the plan.
- Proffer on-the-spot solution to enrollee challenges.
- Escalate challenges to line managers
- De-subscription of members’ plans upon their request, or due to recurrent non-payment, if directed by your line manager.
Requirements
- Must possess a Nursing Certificate.
- At least 2 years relevant work experience
Required Skills:
- Good communication/presentation skills (both oral and written)
- Excellent customer relationship skills
- Proficiency in the use of Microsoft Office Packages
- Good Typing Skills
- Attention to detail
- Ability to work as a team player
- Good Coordination, administrative, Analytical and problem-solving skills.
Application Closing Date
26th August, 2024.
How to Apply
Interested and qualified candidates should send their CV to: aoseji@metrohealthhmo.com using the Job Title as the subject of the mail.
Job Title: Client Service Professional
Location: Nigeria
Employment Type: Full-time
Job Details
- Be a champion for our members! Answer their questions about health plans, benefits, and claims.
- Become a master problem-solver! Help our members find solutions and troubleshoot any issues they might have.
- Channel your inner cheerleader! Provide excellent customer service with a smile, making sure everyone feels heard and supported.
- You’ll research and resolve any concerns members have about their plans or claims.
Requirements
- Candidates should possess B.Sc Degrees with 2 – 5 years relevant work experience.
Application Closing Date
19th August, 2024.
How to Apply
Interested and qualified candidates should send their CV to: aoseji@metrohealthhmo.com using the Job Title as the subject of the mail.
Job Title: Medical Case Officer
Locations:Â Abuja (FCT), Lagos and Rivers
Employment Type: Full Time
Job Description
- Review daily in-process report for new assigned claims
- Request documentation from Office Assistant needed to complete clinical review of assigned claims
- Review coding of professional bills utilizing requested procedural notes
- Review itemized bill and medical records for medical appropriateness and inconsistencies by performing a line by line clinical review of claim
- Research unfamiliar procedures as needed via web
- Contact provider’s representative to resolve billing issues
- Contact provider’s representative to negotiate claim
- Confirm repricing information with provider
- Provide status of outstanding claims upon request
- Prepare management reports of findings for submission to clients.
Requirements
- The ideal candidate must be a Registered Nurse
- Should posses minium of 2 years experience (HMO experience will be an added advantage).
Application Closing Date
2nd September, 2024.
How to Apply
Interested and qualified candidates should send their CV to: aoseji@metrohealthhmo.com using the Job Title as the subject of the mail.
MetroHealth HMO Limited | Recruitment
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Important Notes
- The above statements are intended to describe the general nature and level of work to be performed by those assigned to this function.
- It should not be construed as an exhaustive list of all responsibilities, tasks and skills required of persons so classified.
- All employees may be required to undertake other responsibilities in addition to those specified from time to time, as required.
- We do not charge any application, processing, training, interview, testing or any other fees in connection with the application or recruitment process. If you receive a fee request, please ignore it.
- Also, please note that logos, slogans, names and titles are easily copied and reproduced. Therefore, particular care should be taken when submitting personal information on the web.
- We are an equal opportunity employer that values ​​inclusiveness and diversity. We do not discriminate on the basis of color, race, nationality, religion, age, ethnic origin, disability, gender, marital status or orientation gender in our employment practices
- Our employees are all equally talented in unique ways: we come from diverse traditions, personal experiences and perspectives. And we want to include your ideas, are you ready to inspire us with your ideas?
- We encourage all applicants to apply and do not discriminate in any recruitment process.
- Applications submitted after the deadline will not be considered.
- Due to the necessity of the position, we are entitled to appoint a candidate who matches the required profile before the above deadline
- Only qualified candidates will be invited for an interview
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